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Published on Sep 30, 2016
Hello. I’m Dr. Vladislav GYEBNAR Ph.D. - Plastic, Aesthetic & Hand Surgery I will speak to you today about a common disorder seen in hand pathology manifested by blocking of one of the fingers during it's movement. Obviously, the fingers should move freely. When a finger get's blocked we have a condition called trigger finger. Trigger finger is determined by the inflammation of the extensor tendon which is responsible with the bending movement of the fingers in the palm. The flexor tendon slides through a narrow tunnel, called the tendon sheath, which is strengthened in patches by fibrous annular-shaped structures called flexor pulley system. The blockage of the tendon occurs almost exclusively during the passage through the first annular pulley. A1 pulley is located on the base of each finger. The tendon becomes more thick making its passage through the tunnel more difficult. This intermittent blockage, once appeared, require treatment in order to prevent the complete blockage of the tendon. Conservative noninvasive is an option only in early stage. Surgical approach is recommended in advanced stages and consists of removal of the conflict between the inflamed tendon and the pulley system. The surgical procedure lasts 30 minutes and the recovery is immediate. Further I will present to you two clinical cases. Clinical case - intermediary stage Before surgery After surgery Clinical case - advanced stage Before surgery After surgery Thank you for watching! Please subscribe to my YouTube Channel!